[ effects of kidney with multiple arteries as a graft from living-donors on the results of kidney transplantation]

ABSTRACT

The aim of this study is to evaluate the effects of multiple-arteries kidney graft from living-donors on the results of kidney transplantation. The use of multiple-arteries kidney graft was considered in the past a relative contraindication because of high rate of urologic and vascular complication. The lack of organs and disequilibrium between the patients on waiting list and who were operated in kidney transplant centers result in the use of marginal organs [as example increased blood pressure, Diabetes Mellitus, and the organs with anatomical abnormalities as duplication of urinary tract, multiple arteries, multiple veins]. The medical files of 750 patients transplanted in Kidney Transplant Unit between January 2004 and December 2009 were reviewed. The result were 48 cases with multiple arteries kidney. We performed a retrospective analysis of these 48 patient looking for complications, warm ischemia time, cold ischemia time, vascular anastomosis time, the duration of hospitalization and patient and graft survival. We noticed the following complications 2 cases lymphocele [4%], 2 cases urinary fistula [4%], 2 cases arterial stenosis [4%], 1 case arterial thrombosis [2%], 8 cases delayed graft function [16%]. The mean of warm ischemia time was 58 +/- 4 seconds, the mean of cold ischemia time was 11 +/- 4 minute, the mean of vascular anastomosis time was 32 +/- 7 minute, and the primary hospitalization was 8 +/- 2 days. One - year patient survival was 95.8% and one - year graft survival was 83.3%. This study revealed that the results and the complication rate after the multiple arteries kidney transplantation are comparable to that mentioned in international studies after kidney transplantation in general.